DR. BENNET IFEAKANDU OMALU M.D. M.B.A. M.P.H. NPI 1346467370

NPI Information

NPI: 1346467370
Provider Name: DR. BENNET IFEAKANDU OMALU, M.D., M.B.A., M.P.H.
Classification: Independent Medical Examiner - 202C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4400 V STREET
UNIVERSITY OF CALIFORNIA, DAVIS, MEDICAL CENTER
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-2525
Get Directions

DR. Bennet Ifeakandu Omalu, M.D., M.B.A., M.P.H. is an independent medical examiner in Sacramento, CA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. DR. Bennet Ifeakandu Omalu, M.D., M.B.A., M.P.H. NPI is 1346467370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4400 V STREET
UNIVERSITY OF CALIFORNIA, DAVIS, MEDICAL CENTER
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-2525
Fax: (866) 402-6875

The NPI 1346467370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZC0006X	Pathology	Clinical Pathology	C52868	CALIFORNIA	No
2	207ZF0201X	Pathology	Forensic Pathology	C52868	CALIFORNIA	No
3	207ZN0500X	Pathology	Neuropathology	C52868	CALIFORNIA	No
4	207ZP0101X	Pathology	Anatomic Pathology	C52868	CALIFORNIA	No
5	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	C52868	CALIFORNIA	No
6	209800000X	Legal Medicine		C52868	CALIFORNIA	No
7	202C00000X	Independent Medical Examiner		C52868	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »